Tag Archives: stigma

The post below may be triggering for some. I blatantly discuss suicide and my own brushes with it as well as the recent news of the loss of Robin Williams. If you are fragile, you’ll want to skip this post. If you need to find some happy, go watch this video. It’s all of the awesome and then some.

The sun floated above the house in a swath of the kind of blue sky I long to see when I wake in the morning. The wind played with the trees, swishing the leaves and branches to and fro as birds and butterflies danced along with the melody Mother Nature played for them.

I stood in my bedroom, staring out at the phenomenal glory just beyond my physical reach and well beyond my comprehension. I stepped closer to the open window, staring down at the retaining wall at the edge of the house, calculating the angle necessary to hit it with my head. As my fingers brushed against the roughness of the screen, I drew back suddenly, as if I had been shocked into reality. I scurried downstairs, to a room well away from the retaining wall, and texted with a friend until the thoughts faded away.

I was not interested in beauty that day. I was interested, suddenly, as I stood in my bedroom all alone, in leaving this world.

My divorce was final. I was no longer with my children. I could not find a job. Nothing seemed to be going my way. There was no sense in continuing with things. It was not the first time I felt like ending things and it turned out to not be the last. I dance with these thoughts from time to time but thankfully, so far, I have managed to fight them off. Believe me, the battle to fight them off is FAR HARDER than anyone who has never experienced them could possibly imagine. Sometimes, it is a daily battle. Some days, it is an hourly battle. Then finally, sleep, only to wake up and battle all over again. But I fight because my will to live is powerful and I am not done with my work here yet. I fight because my kids deserve a mother they can reach out and touch or talk to on the phone. I fight because I matter, I love, and I am loved.

There has been a lot of discussion this past week about suicide. The causes, the loss, how to cope, how to survive, and most of all, the matter of making the choice to go through with it.

10 minutes to convince them they matter. That they are bigger than whatever demon is swelling inside of them and convincing them they are better off on the other side.

10.fricking.minutes.

In the grand scheme of life, 10 minutes is but a millisecond, but it is a millisecond with a number of chaotic screaming thoughts flooding your brain in an attempt to convince you to stop the life you know because it has toppled over and there is no other way to fix things.

In those 10 minutes:

It is not a matter of joy.

It is not a matter of prayer or faith.

It is not a matter of therapy.

It is not a matter of medication.

It is not a matter of love.

It is not a matter of religion, resources, and whatever the hell else you want to throw out there as a simple answer to the complexity that is suicide which is, frankly, a sandbox full of all the demons you have ever carried at any point in your life fighting each other for ownership of your soul.

In the throes of the “choice of suicide”, it is all about YOU and that huge ass demon screaming at you that yes, you are better off on the other side as it hacks away at any sense of self-respect, faith, or common sense you previously possessed. The bastard wears you down until finally, there is only one way out.

We all know the story of David and Goliath. It’s like that only sometimes, David doesn’t win.

It’s like Frodo vs. Sauron but all on his own.

It’s like Picard vs. the Borg all by himself. (And we saw how that ended – Locutus!)

I wrote an off-the-cuff status update on Facebook about the passing of Robin Williams. At last check, it had been shared over 200 times. Here’s what I said:

“I want to take a minute (or more) of your time to say something important.

Suicide is scary. It frightens us, particularly those of us who are vulnerable and know these thoughts intimately. These thoughts dance with us and sometimes have done so on a daily basis.

For people who know suicide intimately and have contemplated it, news like the passing of Robin Williams can be very triggering. It causes us to wonder how on earth we will survive if he didn’t make it. He had money. Access to care. He had just been in rehab. Dear Lord. If he couldn’t get better, what hope do “we” have?

Here’s the thing. Choose life. Choose to reach out. Choose light. Choose to fight. Every time you reach out for help, you are choosing to survive. It’s about creating opportunities for hope instead of succumbing to the darkness.

Unfortunately, we don’t know why he chose to leave us, but he did. And we’re left wondering what went wrong.

So if you want to honor his life, honor his time here, take from his death what you can and make it okay to discuss suicidal feelings. Because until mental health is a normal part of every day discussions, we will continue to be shocked when something like this happens, claiming we “had no idea.”

Know this.

There is hope. There is help. And if you are struggling, there are hotlines you can call. Things you can do. Start by reaching out to a friend, then a professional, and stay the course, even when the light fades. It will return.”

I have never had anything shared that much on Facebook before. The comments on the shares are tremendous – people are talking about mental health. But most of all, they are scared.

Because if Robin Williams, a man who had access to it all, committed suicide, then what hope do *we* have in surviving when we don’t have the access to care he did?

I questioned whether or not I should write about this here. I am not writing for page views. I am not writing to take advantage of a horrible situation. I am writing because until we make mental health check ins with each other part of normal, everyday conversation, things like this will ALWAYS shock us. Until we make mental health as normal as physical health, it will always be stigmatized, it will always be taboo, and it will always scare the shit out of us.

My heart has been heavy this week, along with millions of others. Not for the loss of Robin, but for HOW we lost him. I know that pain. I know what those moments of absolute desperation feel like as they strike terror into your very soul. Watching your body and hands go through the motions as your brain screams NO and questions your sanity but you are helpless to stop yourself. I’ve blogged about it before – here, here, and here. The second and third posts references the situation I used to open this post. There have been other times too, times in the car where I wondered what would happen if I just let go of the wheel and let myself drift into oncoming traffic – or into a tree. It’s been awhile since I have fought with these thoughts but the shadows of them are always there, lurking, waiting to spring forth and attack when the darkness threatens to swallow me.

That weight, the weight of sheer terror, isolation, and helplessness, is what spurs me to do what I do – to reach out to mothers struggling with Perinatal Mood & Anxiety Disorders. No mother, hell, no human, should ever surf the tides of mental health alone.

So how do we change things? How do we make suicide less of a threat to ourselves and to those we love?

I wish I had the answer to that question. I have some answers, but not THE answer. No one does. All we have are suggestions.

We talk about our struggles, we don’t cover it up in polite speech or hide it in dark rooms and beneath whispers or under judgmental tones. We stop sensationalizing the horrors and instead write mindfully about the issue at hand. Let’s start there.

Suicide is not something we should dismiss. It is not something we cover up, and it is not solved by choosing joy, reaching out, or praying harder. It goes far deeper than any of that for it is insidious, tenuous, and a gut-sucking leech upon the soul of many of us who have walked this earth. Our lives, all of them, sooner or later, will be touched by suicide – someone we know, a friend’s friend, or our own. Is that acceptable? Hell no. Can we change it? Hell yes.

Baby steps.

Start here, with how to talk to a friend or a loved one about suicide. Carry resources and hotline numbers in your wallet or program them into your phone. Know the signs. Run toward the chaos and the danger instead of huddling away from it. Bring suicide into the light. Make it okay to not be okay. Not cool, but okay. Let them know you hear their pain, you acknowledge their hurt, and do what you can to encourage them to seek help. Don’t judge them. Don’t act shocked. Be compassionate. Be patient. Be understanding. Don’t justify their desire to end it but instead, talk to them about their reasons to live. Be their speck of light, as my good friend and amazing blogger John states in his own post about depression and cancer. Be the warm blanket they need to survive. Be the hope for them until they can be their own hope.

Will we still lose people?

Yes.

But those we save through our own daring to speak up may just be the ones to ultimately change the world. And in the process, we are already changing the world because we’re breaking the stigma of silence around suicide.

It’s time to start growing #PPDChat beyond the borders of its current space. To do that, I need some help!

I started #PPDChat in 2010 with the goal of reaching out to women and families through a new medium. To bash stigma in the most public of places, on Social Media. It took off more than I ever imagined it would.

It’s even transitioned into a closed FB group where over 300 mothers have grown into a close knit community.

But it’s time to take it to the streets and really push the boundaries of growing this community which is centered on the principles I hold so dearly and work to strive in my own life after battling against PP OCD twice:

Self-care:It’s important. As a person, as a woman, as a mother. Self-care is what keeps us going, what fills us up so we can give of ourselves to others. We cannot give to others if we are constantly pouring from an empty pitcher.

Self-respect & respect of others:Just because I have a mental health issue does not mean I am not a person. I absolutely am, you absolutely are as well. We’re just walking a road with a bit of fog on it and for some that fog is a bit thicker than for others. Eventually it will lift and the sun will shine. In the #PPDChat community, respect for others as people is one of the highest priorities.

Self-advocacy and speaking boldly:We are our best advocates. We know what’s going on inside our minds better than anyone else because we live there. Honesty with ourselves, our loved ones, and our professional caregivers is what will help us heal. (With the caveat of sharing with toxic people who shoot us down, of course – that absolutely will not contribute to healing). We empower each other to advocate for ourselves through a shared experience, through personal support, and through locating resources. With #PPDChat, you absolutely are not alone.

With these principles in mind, I am seeking volunteers to join together with me to reach out to new sources of women who would benefit from getting involved with the #PPDChat community. Your involvement may be as involved or as limited as you are able…remember self-care is important here so we do not want to drain you. Marketing, outreach, blog posts, sourcing new places to develop partnerships, etc.

Right now, the only conditions for volunteering are that you must be:

A survivor or a partner of a survivor of a PMAD episode (this does include antenatal mood disorders as well)

Driven & dedicated to help others who have found themselves in the same boat with this beast

Have an internet connection or willing to do footwork in your own community

Able to respond to emails calling for action and a minimum of 1 hour of action/advocacy a week

That’s it. Pretty simple. Right now, I’m gathering volunteers. First email will go out on July 15th so fill out the form below to contact me before then if you’re interested in diving right into this with me.

Can’t volunteer? Pass this post on to someone who may be interested as well. This is the year #PPDChat breaks out of the shell it’s grown into and really starts kicking some serious stigma ass.

Who’s with me?

’Name’

’Email’

’Tell

’What

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I was going to wait to publish this post until after I’d had time to read it through. But given that I just accidentally posted it, freaked out, made it private, I’m realizing that folks who got it through email will be able to read the entire thing anyway. SO. Here ya go. With a temporary title that obviously will be the permanent title – my ramblings and thoughts regarding Ebony Wilkerson, tragically better known as the mom in Daytona who drove her minivan into the sea.

The public defender’s office said there was a reason she beat her stomach. “She {is} being held in seclusion naked in her cell,” said Craig Byer.

Public defender James Purdey at first asked for Monday’s hearing to get Wilkerson’s 1.2 million bond reduced.

Purdey instead asked his client be transferred from the Volusia County Branch Jail to a psychiatric ward for longer than a typical Baker Act hold, so she can get mental pre-natal care.

The judge did not rule on the request to move Wilkerson because the judge said it’s something that hasn’t been done before. (Source)

According to the Ebony Wilkerson narrative we have thus far, she drove to Central Florida from South Carolina to escape an abusive partner. Her family struggled to get her help but she signed herself out of the hospital and somehow managed to get the keys to the minivan and drive it and all of her children into the ocean despite the family’s efforts to hide the keys from her.

This week, we are told she has been held naked, in seclusion at the local jail and started punching her stomach, causing her defenders to push for her to be moved to a psychiatric ward for “mental pre-natal care.”

What the hell is wrong with this picture?

From an emotional and advocate standpoint, a lot.

From a logical standpoint, I can understand why these measures may need to be taken, particularly if Ebony has been suicidal. Of course you don’t want to give her anything that she could possibly harm herself with but there has to be a way to do that without completely stripping her down and removing all sense of dignity, something she was more than likely running low on if indeed she was escaping an abusive relationship.

The judge’s reluctance to move her may also be grounded in logic as well. Perhaps she did not feel she had enough facts to justify setting a precedence with Ebony’s case. Or perhaps the Volusia County Jail has the capability to be considered as “clinically appropriate” (as is required of examination/treatment in the Baker Act) and therefore the judge did not see moving her as a necessity. Or perhaps there simply wasn’t anywhere to move her to which offered the same level of security the judge felt Ebony requires at the moment.

But when examined from an emotional and advocate point of view, this is absolutely heartbreaking.

A pregnant mother, escaping an alleged abusive relationship, drives her kids into the ocean despite attempts to help her. To me, this screams of absolute desperation. This is beyond sanity. It’s more than a call for help. This type of behaviour requires action.

But is what Volusia County doing enough?

How do we best handle this type of situation in this day and age?

It’s like I tell my kids and my partner – we can’t fix a problem unless we know about it. Unfortunately, women (and men especially) who are in abusive relationships are often quiet about their situations until it’s almost too late, and some until it is too late. Why? Because they are often threatened by the perpetrator that if they don’t remain silent, there will be repercussions.

Silence is also a hallmark of Perinatal Mood & Anxiety Disorders for multiple reasons. Society believes we should be happy when pregnant or in the throes of new parenthood. Thing is, mood disorders have been happening since the dawn of time. Our responses to them over the centuries have varied but even early on, a few folks got it right. Take Asclepiades, for example. According to Thomas Millons Masters Of The Mind, he “argued against dark cells and dungeons for the mentally ill…thought patients should be in settings that were well lit and comfortable.” Asclepiades also proposed that “biological and chemically based treatment would be beneficial” in addition to dividing conditions into acute versus chronic and also distinguished between hallucinations, delusions, and illusions.

The main point of Asclepiades is that even in the early ages (171-110BC, by the way), someone recognized that locking away the mentally ill in dark, dank places was NOT the way to go.

Arataeus believed the “soul was the basis of psychic disturbances” and “mental disorders were exaggerated normal processes”. (Millon)

Then there’s Soranus who posited “consider(ing) culture as a factor in both investigating and treating mental patient.” (Millon, Masters Of The Mind). He also advocated for decent and kind treatment of the mentally ill, asking “his peers to remember who was ill; physicians should not view their patients as disagreeable persons who offended their self-image.” (Millon) It seems to this outside observer that Volusia County is not doing that in Ebony’s case.

Does being an abused woman or a woman at the hands of a Perinatal Mood Disorder excuse the type of behaviour Ebony Wilkerson has exhibited? No. But both are mitigating factors which led to her behaviour and should absolutely be taken into consideration as her case proceeds.

I’ve written extensively about Postpartum Depression as a defense. Cases like these are both fascinating and heartbreaking because all at once, those of us who have experienced a Perinatal Mood & Anxiety Disorder, see fractions of ourselves in the women who make headlines. We collectively gasp and think, my God, what if I had given into all those thoughts racing through my head? I could be her. I could be Ebony. I could be Miriam, I could be Andrea, I could be Otty.

We shudder because we were there, with them, in the dark, in the hell, holding their hands and they fell as we watch in horror. The way their fall is paraded in front of society scares the crap out of us and drives many to silence. Is this healthy for society? Yes and no. We should be outraged when children are subjected to death (or the threat thereof) at the hands of their parents. But at the same time, we need to take steps to prevent this type of situation from occurring in the first place.

How do we do that when every single case, every single situation from mother to mother and from birth to birth is different? How do we catch a falling mother if we don’t know she is falling?

Even if we start by putting measures in place to check for signs of falling, we will still fail if the mother doesn’t admit to having a problem or, as in Ebony’s case, refuses help (for whatever reasons – cultural stigma, fear, etc) which is offered to her because she is far past the breaking point and sees death as the only way out. Do we just throw our hands up in the air and let her do what she may? No. So what do we do then?

I don’t know.

What I do know is this:

Mothers (and fathers) do not deserve to be alone in this battle

Mothers (and fathers) deserve emotional support

Mothers and fathers need a village

Perinatal Mood & Anxiety Disorders are not deserving of whispers, they require shouts

We need to speak up, every single time, not just when there is a crisis

Accept those who are hurting with open arms and provide a safe space for them to fall apart

Not judge those who have/are struggling so harshly

So what can we do to improve the situation for struggling parents across the globe with the very real (and often co-occurring) issue of domestic abuse/violence and Perinatal Mood & Anxiety Disorders?

Make it okay to reach out for help and ditch the supermom/superwoman/superman/superdad façade

Initiate requirements for ALL health professionals who may come in contact with an expecting or new mother to be well-versed in the ins and outs of a Perinatal Mood & Anxiety Disorders (this includes pediatricians, OBGYN’s, GP’s, Family Doctors, IBCLC’s, doulas, midwives, naturopaths, you get my point…)

Create local, state, and national referral networks which incorporate above said training on a regular basis

Create networks of parents willing to mentor other parents through these tough situations and make it easy to access across the board

Are these solutions going to fix our current problem? No. But they’re a start and sadly, most of it revolves around a tradition which our current technologically advanced society has strayed greatly from – the tight knit expanded family. It takes a village to raise a child but it also takes a village to raise a mother to raise a child right. In my post “On Not Wanting To,” I state the following:

Our village is in peril. Our village? FELL THE FUCK APART AND NO ONE GIVES A DAMN.

In America, we have a pitiful excuse for maternity leave. We are bombarded by stories of celebs who gave birth and look AHMAZING in less than three weeks after giving birth. We are insanely comparing ourselves to women who are a) genetically blessed and b) have crazy access to things like trainers, nutritionists, nannies… and then there are the way we compare ourselves to each other. Stupid idiotic milestones of when we went back to work, how much we manage to get done every day, pushing ourselves to be better than the next mom and still have it all pulled together.

It’s no wonder we are screaming out for help and some of us are doing so through extreme measures.

Let’s keep the “if I were her, I would” out of the conversation. We do not know what she’s going through. Even if we’ve been through hell ourselves, we do not know *her* hell nor should we take her story as one which portends the downfall of ALL women who struggle with domestic violence/abuse and a Perinatal Mood & Anxiety Disorder. Instead, reach out to mothers, to fathers, let them know it is okay to reach out for help. For that matter, teach it to your kids so that when they get older they don’t feel as if reaching for help is in essence, failure to handle something on their own. Yes, independence is a grand thing but there is a time and a place to lean on someone else. Not to lean in, but to lean on, sometimes for dear life.

Our village has forgotten how to do this very simple yet necessary human act. We are now expected to be everything to everyone and dear GOD help us if we are not. Should we assume something is wrong with every mother? No. But instead of oohing and ahhing at her baby, ask how she’s doing. Ask how Dad is doing. Do not dismiss their very real role in their new situation. By acknowledging them, you acknowledge their existence and empower them to express their feelings. And that, my friends, is possibly one of the most powerful things we can ever do for a new parent.

Will it keep more pregnant women from being held in seclusion, naked in a prison cell, after they’ve attempted to kill their older children and themselves? Not all of them, no. But it’s a start.

An even better start would be to continue educating people about Perinatal Mood & Anxiety Disorders, including those in the law enforcement and legal arena. I realize they are bound by the courts and must adhere to the law but if they had a better understanding of the facts behind Perinatal Mood & Anxiety Disorders, perhaps, at least, the treatment of mothers imprisoned for crimes committed whilst experience these disorders would stand a chance of improving.

In the meantime, I genuinely hope that Ebony Wilkerson receives the help she so desperately needs as she awaits trial for her actions on the fateful day she drove her minivan into the sea. We’re watching, Volusia County. Don’t fail us more than you already have failed Ebony.

She sighs, in the dark, as her baby snuggles closer to her neck, his chubby fists opening and closing as he exhales and relaxes his body with a small whimper. She waits, supporting him, waiting for that moment when the weight of sleep brings a random tingle or two to her forearm. Stands up slowly, using muscles in her thighs to lift her upper body as she does so, careful to not a muscle touching her now sleeping infant. Eyes flutter shut as she puts one foot in front of the other, heading for the crib. Baby shifts, stutter sighs, and moves, nuzzling further into her neck. She moves her hand to the back of his head, rubbing it softly as she hums their song.

She manages to lay him down and leave the room. As she crawls into bed, her calves sink into the mattress first, then the exhaustion surges upward until her eyes slam shut until morning, all of an hour and a half away when she will wake up to a hungry baby, a dog with a full bladder, and a toddler who has probably strewn cheerios over half the house because she needed to feed the dog.

Motherhood.

It changes us.

Mentally.

Physically.

For some, motherhood is a warm field on a sunny day filled with laughter, babbling brooks, playful deer, and an intoxicating joy.

For others, motherhood is a dark room in the bottom of the keep, covered with bars, the key well beyond our reach. We fight, we scream, we rage against the thick door but it won’t budge. We see the warm field in the sun from the window a the top of our room and long for it – long to talk walks with our little ones as the sun beats down upon our faces and a smile spreads across our face but instead, we are trapped inside our own special hell.

Motherhood without a mental illness is not the easiest road to tread, either. Heck, life in general requires some level of tenacity. One of the most frustrating things I am faced with is not discounting the struggles that each of us go through – respecting the journey of every single mother without demeaning the journey of another. And yet, it’s my goal.

Over the past several years, I have been privileged enough to meet some of the most amazing and resilient parents. Parents who fight for themselves, for their children, for their relationships, for life. Parents who work through even deeper hells than I can even imagine and still manage to parent their kids, all the while, worrying about how their experience will affect their kids, their marriage, their jobs, their lives. Yet, every morning, they wake, get out of bed, and take another step forward toward healing, even if they are absolutely exhausted.

A friend of mine posted on FB a quip about hockey players being a different breed. He was commenting on Rich Peverly’s alleged desire to get back into the game despite having experienced a cardiac event on the bench. Any other sport and the player wouldn’t be thinking about getting back in the game, right?

The same is true of mothers battling against mental illness, whatever form it may take for them. We want to get back in the game. We want to play, we want to laugh. We want to be free to just…be…without the burden or restraint of our mental health on our souls. This is why we cherish the good days and wade through the bad ones. Why we hold on so tightly to every single glimmer of hope crossing our hearts.

We are a different breed.

We aren’t worse.

We aren’t better.

We’re just different and we want to be loved for who we are, not what you think we should be or could be.

Join me tonight as we explore the issue of media sensationalism and PPD. So often, as I stated in my post “On Not Wanting To”, when a mom hurts herself or her children, we get the sensationalized version of it and the details of her journey to that point (and her journey after the event) are dramatized as well. I hope you’ll join me for a passionate and insightful chat into why this needs to change as well as why we owe it to ourselves and to society to reach out to every new mother dyad with care, compassion, and understanding.

There are people on Twitter I seem to have “known” for quite awhile. As it often is with Twitter, I am never sure how we “met” but there are a few I feel a stronger connection to than others. We may not talk often, but they are the ones I check in with from time to time. This post is from one of those people and it’s a really insightful and honest post about Postpartum Depression and Anxiety.

All too often we do not reach out for help because of stigma or because we think this is just the way things are supposed to be. This time around, she’s doing it differently. Go show her some love as she steps out into her brave new world.

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Last night, when I took to my keyboard to write “Finding Life at the End of My Comfort Zone”, I did not need to write it to complete my 500 words for the day. It was just time to admit what had gone on in my life for the past year and how I was coping. After I hit publish, I exhaled. Finally. It was all out. For me, part of healing is being open and transparent.

Not more than a couple of minutes after hitting publish, the post received a comment from someone who has never commented here. It was held in moderation, and I will not be publishing it as a comment. I am, however, going to publish it here, addressing why it is a highly inappropriate response to my post yesterday.

The entire comment is as follows:

Hi! I think that it’s great you’re taking medications to help yourself but I am so sure that you can do so much more awesome things than taking medicine. I am one of those who don’t step outside my comfort zone as well and you know stepping outside the first couple of steps are the hardest but gradually you’ll become stronger to keep pushing yourself forward. You should try meditation it’s not religious at all too. It’s a practice to obtain peace and can really reduce stress. I believe you can do it, you just have to tell yourself that you’re strong enough! I wish you good luck of your journey!

You ready to analyze it? I am.

Let’s start with the greeting and the first sentence:

Hi! I think that it’s great you’re taking medications to help yourself but I am so sure that you can do so much more awesome things than taking medicine.

Notice the cheery greeting, complete with exclamation point. She’s HAPPY! She thinks it’s awesome that I’m taking medications to help myself BUT.. wait…. what’s this? She’s sure I can do so much more awesome things than taking medication? Really? Based on what sound evidence? Is she a physician? Has she discovered some amazing new way to deal with situational depression brought on by an insane amount of stress in a short period of time?

*GASPS* Wait – I know! I should have stuck with just my HappyLight, regular rest and relaxation, supplements, and prayed harder, right? Right? *smacks forehead* I totally failed that one, right?

She then goes for the “I relate to you” sentiment with this line:

I am one of those who don’t step outside my comfort zone as well and you know stepping outside the first couple of steps are the hardest but gradually you’ll become stronger to keep pushing yourself forward.

Oh really? Preach on, sister, preach on. That’s how it works, huh? After two episode of PP OCD, an episode of antepartum depression, post-divorce depression, I had NO clue that the first couple of steps were the hardest. I’ve been through the “gradually you’ll become stronger” thing and know that it’s a hard process. I also know that pushing yourself forward is necessary for progress. Of course, these are all things I thought I addressed in my post which, clearly she read because she commented, right?

Perhaps there’s a solution of which she’s aware that I haven’t thought of yet?

There is!

You should try meditation it’s not religious at all too. It’s a practice to obtain peace and can really reduce stress.

Aaaaaaand here’s where it gets fun, people.

Never mind the call I made to a medical professional after fighting on my own for months against the beast inside me, a beast egged on by the stress of living with very negative neighbors who attacked us verbally or intimidated almost every time we stepped outside and wild children who screamed and yelled outside our condo until the wee hours of the morning, interfering with any chance of sleep at night in addition to an insane amount of anxiety through the day.

Never mind the discussion I had with her during which I stuttered, nervously spilling all the details of the hell in which I found myself, fighting back the urge to completely lose it as I did so.

Never mind the years of school and practice my Nurse Practitioner has under her belt which allowed her to have a very compassionate discussion with me about my current state of mind and what my options were to fix it while calming me down at the same time.

We discussed the possibility of therapy but we cannot afford a weekly therapy session right now because we are not insured. But meds which have worked before were an option. So after two weeks of working my way up to making the call, I walked into a pharmacy and picked up a bottle of pills, feeling as if I were less than a toddler’s forgotten cheerio stuck in a couch cushion.

Apparently, what I should have done instead was head over to YouTube and find a meditation video. Boom. All better, right?

Here’s the thing about depression and mental health issues, however: there are a myriad of treatments available because we are not all built alike nor do we all arrive at our diagnosis via the same path. We also do not find our road to wellness along the same path.

Don’t even get me started on the entire religious aspect of this comment. Let’s leave that out of it because we wouldn’t want to offend anyone, would we? (Which is clearly why she specified that meditation is not religious, right?)

Since my brush with Postpartum Mood Disorders, my life is increasingly mindful. In fact, over the past year, I am healthier mentally than at any time in my life. How can I make that claim despite being on anti-depressants now? Mental health does not always mean happy. To me, what it means is a deep understanding of why things happen and accepting what you need to do in order to move beyond them. It means the capability to examine events in your life and hold a healthy response even if it does not lead to joy. The path back to joy, motivation, and yourself is a personal road and no one beside your physician has the right to tell you how to get there. It is YOUR road map, not anyone else’s.

Of course, blogging about my mental health opens me up to criticism and suggestions like this. Some might say that I “deserve” to have comments like this. No one deserves to be told what to do, not even if they’re asking for advice and particularly not if they are opening up about their choices they have already made.

Telling someone that they SHOULD do something other than what they have chosen to do with the help of a medical professional is beyond reprehensible. Making the decision to reach out for help – to admit you are not okay to a medical professional is an absolutely nerve-wracking experience.

I cannot help that someone who would dare to judge someone else’s road has never traveled down a similar road. Because if they had traveled down this road, they would know how detrimental it can be to be judged for their decisions as they fight to get well.

She wraps up her comment with a much better outlook:

I believe you can do it, you just have to tell yourself that you’re strong enough! I wish you good luck of your journey!

Yay. Cheerleading! RAH RAH SISK OOM BAH!

Had she skipped the whole rigamarole about “more awesome than medication” and “try meditation instead” this would have been a perfectly awesome comment. THIS is a perfectly acceptable response to someone admitting they’ve settled on a method of treatment for a mental health issue. It empowers, supports, and encourages without judging the decisions of the person.

So, after all of this – how do you perfectly respond to someone who is struggling and has settled on a method of treatment? It’s hidden in this very comment.

Like this:

“Hi! I believe you can do it, you just have to tell yourself that you’re strong enough! I am one of those who don’t step outside my comfort zone as well and you know stepping outside the first couple of steps are the hardest but gradually you’ll become stronger to keep pushing yourself forward. I wish you good luck of your journey! :)”

Now this is how you support someone!

You support by offering encouragement, compassion, and empowering the person who is fighting like hell to be themselves again.

If someone proffers judgment on your treatment choices, do not let it deter you from your healing. You are in the driver’s seat and decide what exit is yours on this interstate of life, not anyone else, and definitely not a stranger who knows absolutely nothing about why you’re in the car to begin with.

A friend of mine said it best on FB, typos and all:

“Hugs. Love. I Get Its. And no judgement here. Take your meds. Meditate if it helps ON your meds.But fuck everyone else and their well-meaning yet severely judgmental opinions. Just do what’s fight for you.”

While I have not read anything beyond Ivy’s piece, I want to address one of the issues Ivy touches on in her post. For me, it is one of the primary reasons women who struggle with a Perinatal Mood & Anxiety Disorder still fight so desperately with reaching out for help and then with actually receiving the proper help.

Our battle has multiple levels. Were PMAD’s a video game, we would have to survive level after harrowing level before finally reaching a properly educated doctor or therapist. Some of us may be lucky enough to skip all these harrowing levels but for most of us, we are destined to fight with all we have while we don’t have much just to get by in a world expecting us to be super mom while we are at it.

First, we have to fight with ourselves to acknowledge that there is a problem.

Then, we fight with loved ones for help with every day tasks and with reaching out for help. We fight the argument that we are “faking” or “pretending” just to get out of housework or parenting. We are, some of us, told to suck it up and get over it. Move on. We’ll fall in love with our children eventually. Worse yet, some of us are told depression is some sort of luxury the former generations did not have time with which to deal.

Next, we fight with the front desk folks at the doctor’s office who may tell us such things as “If you’re not suicidal, don’t call us until you are.” (And yes, shamefully, that DOES happen in real life).

We then level up to arguing with a doctor who may brilliantly tell us that our hormones should be back in order by now so of course it can’t be Postpartum Depression despite the fact that we just admitted several high risk symptoms to them. So we are referred to the therapist who calls and reschedules until we are exhausted and cancel altogether.

So we suck it up and try to make do on our own until the next baby when we completely fall apart and start the entire routine all over again. Only this time around, there is a little less resistance from family members and friends because they have seen you go through this before and realize that maybe, just maybe, she isn’t making it up this time around.

But we have to stay off the Internet because it’s a dangerous place for a woman with a PMAD to be – we will be judged for breastfeeding while taking medication or for giving formula because we have to medicate. We didn’t try hard enough to protect ourselves, there is something wrong with us. Damn straight there is something wrong with us – it’s an illness, it’s real, and it is hell.

Psychiatric stigma is bullshit. The divisiveness motherhood brings to a woman’s life is bullshit. Hell, sometimes just being a woman altogether is bullshit. Why we judge each other so harshly for our choices is so beyond me I don’t even know how to begin to understand why we do this. I’m serious – I truly do not understand the in-fighting or bickering.

It comes down to understanding one simple truth:

Each mother needs to do what is best for HER and for HER family. As long as she is doing just that, we do not need to judge, we do not need to place blame, stigma, guilt, or any other negative blanket upon her or her family.

The Internet can be a fabulous place for support if you end up surrounded by the right people and ignore the wrong people. It’s finding the wonderful people that is the challenge.

I have a simple dream, in closing. It’s a dream that one day, mothers of all sort of different beliefs, will be able to have a discussion about parenting without inadvertently reducing each other to panic attacks and/or tears because they’ve judged someone for doing something outside the realm of *their* comfort zone.

On October 3, 2013, Miriam Carey tragically lost her life Washington, DC. She was supposed to be in Connecticut, taking her daughter to a doctor’s appointment according to the myriad of articles I have read this morning.

They all seem to have the similar tone to them, these articles. That a woman tragically lost her life because she had Postpartum Depression.

Yet, medication recovered at her Stamford, CT, apartment would indicate that what was going on with Miriam went much deeper than Postpartum Depression.

A woman with Postpartum Depression does not simply break with reality and drive hundreds of miles out of her way to drive into barriers, lead police on a chase, and somehow end up dead, all with her infant daughter in the back seat.

There are a number of symptoms on that list I have seen discussed this morning. Some of them match up with PPP.

The other things I have seen discussed this morning are heartbreaking. Folks judging Miriam for her actions. Saying she’s a monster. Wondering how she could possibly have driven her vehicle into the barriers and toward a hail of police bullets with her daughter in the back seat.

I have also seen some honest discussion about what it means to struggle with a mood disorder after the birth of a child and how it hurts whenever something like this happens. I feel as if I have been punched in the gut, to be honest. I want to fall to my knees and weep for what happened to Miriam. But instead, I am writing and I am reaching out to those in the community I founded to support women and families struggling with mood disorders after the birth of a child.

Why?

Because this kind of support, on a human level, helps quell the storm. It lets others know they are not alone and there is hope. We help each other find the way in the dark, particularly when a storm like this tragedy looms on our shores. You see, at one time or another, we have all been Miriam. We have had those thoughts, the scary ones about driving our cars into solid objects, about letting go, about just giving up and moving on toward that great white light. Some of us have almost touched that white light. WE KNOW the darkness which drove Miriam to Washington, D.C. intimately. We have sat with it on our shoulders, in our hearts, and felt it try to gain control of our heads. We, however, are the lucky ones because we are still here, fighting.

For now, know that you are not alone, it is absolutely okay to reach out for help, and you are loved.

If you or a loved one are currently struggling with a Perinatal Mood & Anxiety Disorder, reach out to Postpartum Support International at their websiteor find me on Twitter @unxpctdblessing. There is also 24/7 support available via the hashtag #PPDChat and we have a closed FB group as well. You are never alone.

Thing is, band-aids would do a better job of healing stigmata, as horrific as it is, than it they would to heal the misconceptions about mental illness.

For centuries, people have developed their own fears and prejudices in regards to those of us who struggle with mental illness.

We’re scary.

We’re violent.

We’re stupid.

We can’t function.

We should be locked away.

We are to be feared.

We are to be hidden.

We are to be whispered about.

We are not to be talked about at all.

We are to hide our illness the best we can.

We are an embarrassment to our families.

We can’t have friends.

We can’t have children.

We can make our illness go away.

We choose to be crazy, nuts, insane, loco.

We use mental illness as an excuse to not contribute to society.

We are lazy.

Meet stigma.

Stigma is a heavy blanket which covers all of us who struggle with mental illness. Not only do we fight against whatever illness it is we are diagnosed with, but we fight the blanket too. It’s a thick and heavy blanket society has flung over us to hide us as we try to function within their world. It’s hiding us. Just as a band-aid hides a wound.

Band-aids don’t always heal wounds. Sometimes a wound needs to breathe, to gulp in fresh air, scab over, and continue to grow new skin in order to heal. Fresh air is the equivalent of open conversation of mental illness not laced with stigma. Until we, as a society, are able to sit down at a table together to discuss mental illness without resorting to judging or stigmatizing those who struggle with it, we will never heal.

Stigma is not something which can be pulled off quickly like a band-aid either.

It requires a slow removal because stigma is a wound which has been festering for eons. Lots of tender care is required in order to aid in the wound reaching fresh air. Several layers need to be removed, slowly and carefully. Bold conversations, intense honesty, patience, compassion, and a dedicated desire to convey the truth about mental health are requirements.

It is possible to peel back the layers and allow the wounds to heal. Start with one person and you might be surprised where your ripple of truth ends up. But if you never start that conversation? Stigma will continue to thrive. Don’t hesitate to do something because you believe just one voice doesn’t make a difference. Because your voice, no matter how small, matters.

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A Note

Please note any information found on this blog is not meant to replace that of a qualified professional.
We encourage partnership with your physician, psychiatrist, and therapist in the treatment of mood disorder.
The information found here is educational and anecdotal and should be reviewed with a professional prior to implementation.